Iditarod Application

________________________          ______________          _____

Name of musher                                     Date of Birth                 Sex

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Residence - Town, State, Country

Have you read and understand the rules of the Iditarod race?    ____yes    ____no

Do you agree to comply with all the rules of the race?    ____yes    ____no

Mushing experience - please describe your mushing experience on the lines below.

_______________________________________________________________________

_______________________________________________________________________

Awards - list any racing awards you have won

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I certify that the above information is true and correct.

_____________________________          ____________

Signature                                                      Date